Healthcare Provider Details
I. General information
NPI: 1568378578
Provider Name (Legal Business Name): INCREDIBILIS SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 S TYLER ST
AMARILLO TX
79101-2353
US
IV. Provider business mailing address
600 S TYLER ST
AMARILLO TX
79101-2353
US
V. Phone/Fax
- Phone: 901-602-5651
- Fax: 901-602-5656
- Phone: 901-602-5651
- Fax: 901-602-5656
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUAN
C
BARBERIS
Title or Position: OWNER
Credential: MD
Phone: 901-602-5651